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目的:对比经尿道膀胱肿瘤电切术与膀胱部分切除术治疗膀胱肿瘤的效果。方法:回顾性分析肇庆市第二人民医院收治的67例膀胱肿瘤患者的临床资料,根据不同的手术疗法进行分组;对照组占47.76%(32/67),采取膀胱部分切除术治疗;观察组占52.24%(35/67),采取经尿道膀胱肿瘤电切术治疗;以手术时间、膀胱冲洗时间、肉眼血尿时间、术后并发症发生率、术后1年复发率及最大尿流率(MFR)、残余尿量(RUV)等为观察指标。结果:观察组手术时间、膀胱冲洗时间、尿管留置时间、肉眼血尿时间、住院时间均短于对照组,术中出血量少于对照组,术后并发症发生率、术后1年复发率均小于对照组,差异具有统计学意义(P<0.05);手术前,两组MFR、RUV比较,差异均无统计学意义(P>0.05);手术后24 h、72 h,观察组MFR、RUV均优于对照组,差异具有统计学意义(P<0.05)。结论:经尿道膀胱肿瘤电切术治疗膀胱肿瘤的效果确切、安全性高,对比膀胱部分切除术,前者在创伤性小、术后康复快、并发症及复发少方面具有显著优势。
OBJECTIVE: To compare the efficacy of transurethral resection of the bladder tumor and partial resection of the bladder in the treatment of bladder cancer. Methods: The clinical data of 67 patients with bladder cancer admitted to the Second People’s Hospital of Zhaoqing City were analyzed retrospectively. The patients were divided into groups according to the different operation methods. The control group accounted for 47.76% (32/67), and partial resection of the bladder was performed. The observation group Accounting for 52.24% (35/67) .Treatment of transurethral resection of bladder tumor was performed. The operative time, bladder irrigation time, gross hematuria time, the incidence of postoperative complications, the recurrence rate after 1 year and the maximum uroflow rate MFR), residual urine volume (RUV) as the observation index. Results: The operation time, bladder irrigation time, catheter indwelling time, gross hematuria time and hospital stay in the observation group were shorter than those in the control group. The blood loss in the observation group was less than that in the control group. The incidence of postoperative complications and recurrence rate (P <0.05). Before operation, there was no significant difference in MFR and RUV between the two groups (P> 0.05). At 24 h and 72 h after operation, MFR, RUV were better than the control group, the difference was statistically significant (P <0.05). Conclusion: Transurethral resection of the bladder tumor is effective and effective in the treatment of bladder cancer. Compared with partial resection of the bladder, the former has obvious advantages in terms of less invasiveness, faster postoperative recovery, fewer complications and fewer recurrences.